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Utah rates for HCPCS L0700

Cervical-Thoracic-Lumbar-Sacral-Orthoses (Ctlso) Anterior- Posterior-Lateral Control Molded To Patient Model (Minerva Type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.56 / $733.56 / $733.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.56 / $1,032.43 / $8,762.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.99 / $1,703.99 / $1,703.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,703.99 / $1,755.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.88 / $1,682.07 / $2,186.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.58 / $2,250.13 / $2,250.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.31 / $1,612.89 / $2,419.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.70 / $1,136.29 / $1,136.29